Individual provider · Type 1 NPI
Evan Roubal
Independent Duty Corpsman · Champlin, MN
Practice location
12054 Mississippi Dr N
Champlin, MN 55316-2110
Mailing address
12054 Mississippi Drive
Champlin, MN 55316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | None listed |
Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…
About NPI 1043571904
Evan Roubal's National Provider Identifier is 1043571904, issued on Jun 6, 2012. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Champlin, MN. The record was last updated on Jun 6, 2012.